ELITE CARE, LLC (NPI# 1235784893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235784893 |
| Entity Type | Organization |
| Organization Name | ELITE CARE, LLC |
| Practice Address |
130 West 2nd St. Malvern AR 72104-3708 |
| Practice Telephone | 5012291523 |
| Practice Fax Number | 5012292929 |
| Mailing Telephone | 5012291523 |
| Mailing Fax Number | 5012292929 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | MS. SHARON JUSTICE (CO OWNER/ ADMINISTRATOR) |
| Authorized Official Telephone | 5012291523 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 202881732 | 05 | |
| AR | 207221797 | 05 | |
| AR | 209345757 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861668030 | Elite Care, LLC | Home Health | 1201 Greenwood Ave, Jackson, MI 49203-3036 | 2008-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ELITE CARE, LLC | 4 East Central Street, Suite 1174, Worcester, MA 01603 |
| Street Address |
130 WEST 2ND ST. |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154763 | Ashley N Hyde | Technician | 10 Ute Trl, Malvern, OH 44644-9534 | 2020-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922540 | Home Health Care Agency of Arkansas, LLC | Technician | 1200 John Barrow Rd Ste 111, Little Rock, AR 72205-6528 | 2020-11-03 |
| 1770110488 | Roger Barnes | Technician | 4836 Park Ave Ste B, Hot Springs, AR 71901-9477 | 2020-03-24 |
| 1184259210 | Little Joe Scott | Technician | 2702 Amhurst, Magnolia, AR 71753-4216 | 2020-03-09 |
| 1598303968 | Brandon Lee Hutchison | Technician | 152 Birchwood Cir, Cabot, AR 72023-2585 | 2019-12-17 |
| 1417599788 | E & D Private Care Agency | Technician | 3051 Waverly Rd, Proctor, AR 72376 | 2019-10-08 |
| 1275184749 | Home Care Network LLC | Technician | 2607 W 28th Ave, Pine Bluff, AR 71603-4916 | 2019-09-25 |
| 1720639347 | Always Promoting Independence Homecare, LLC | Technician | 1004 Brantley Ave, North Little Rock, AR 72117-2146 | 2019-09-25 |
| 1245791094 | Kim Callicutt | Technician | 110 Block St, Marion, AR 72364-1956 | 2019-03-26 |
| 1912468711 | Eden House Home Care, LLC | Technician | 120 W Tyler Ave Ste 200, West Memphis, AR 72301-4221 | 2019-03-26 |
| 1760992911 | Lorraine Irene Devries | Technician | 1316 Industrial Acess Drive, Trumann, AR 72472 | 2017-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.